Gender, precarious work, and chronic diseases in South Korea
Gender, precarious work, and chronic diseases in South Korea
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DOI：
10.1002/ajim.20626
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发表时间：
2008-10-01
影响因子：
3.5
通讯作者：
Cho, Sung-Il
中科院分区：
文献类型：
--
作者：
Kim, Il-Ho;Khang, Young-Ho;Cho, Sung-Il
目的针对韩国越来越多的非标准工人，研究非标准工人报告的健康状况是否比标准工人差，并评估就业状况与慢性健康结果之间的关系是否存在性别差异。方法数据来自2001年全国健康与营养检查调查，年龄在20-之间的1,563名男性和1,045名女性。非标准就业包括兼职工作、临时工和日工。主要结果：在调整了社会经济地位(教育程度、职业阶层和收入)和健康行为(吸烟、饮酒、定期锻炼和健康检查)后，非标准就业与自测健康和慢性病的风险显著相关。然而，非标准工作与具体健康问题之间的关系模式因性别而有很大差异。在男性中，非标准工作安排与肌肉骨骼疾病(OR 1.97，95%CI 1.24-3.19)和肝病(OR 2.83，95%CI 1.27-6.32)显著相关。在女性中，非标准就业与精神障碍有关(OR 3.25，95%CI 1.40-7.56)。结论这些发现清楚地表明有必要对所观察到的关联进行进一步研究，特别是前瞻性和分析性研究。
Objective In view of the growing number of nonstandard workers in South Korea, this study examined whether nonstandard workers reported poorer health compared to standard workers and assessed whether there were gender differences in the association between employment status and chronic health outcomes.Method Data were taken from a representative-weighted sample of 1,563 men and 1,045 women aged 20-64, from the 2001 National Health and Nutrition Examination Survey. Nonstandard employment included part-time work-, temporary work, and day labor. Self-rated health and self-reported chronic disease conditions were used as health measures.Main Results Nonstandard employment was significantly associated with higher risk of self-rated health and chronic conditions after adjusting for socioeconomic position (education, occupational class, and income) and health behaviors (cigarette smoking, alcohol consumption, regular exercise, and health examinations). However the pattern in the relation between nonstandard work and specific health problems greatly differed by gender. Among men, nonstandard work arrangements were significantly associated with musculoskeletal disorders (OR 1.97, 95% CI 1.24-3.19) and liver disease (OR 2.83, 95% CI 1.27-6.32). Among women, nonstandard employment was related to mental disorders (OR 3.25, 95% CI 1.40-7.56).Conclusion The findings clearly indicate the need for further study of the observed associations, particularly prospective and analytical studies.